Organization
SAFEWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE DUNN (PHARMACY DISTRICT MANAGER)
(503) 305-9681
Entity
Organization
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9700
Mailing address
2407 STRINGER GAP RD, GRANTS PASS, OR 97527-9573
(541) 660-7657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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